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Block, Inc. Director's Dealing 2022

Jun 16, 2022

30034_rns_2022-06-16_19075ea9-7aad-4de5-9917-555a35378a69.pdf

Director's Dealing

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6/16/22, 2:48 PM

SEC FORM 4

SEC Form 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

FORM 4

	OMB APPROVAL
	OMB Number: 3235-0287
	Estimated average burden
	hours per response: 0.5

Washington, D.C. 20549

																							OMB APPROVAL	OMB APPROVAL	OMB APPROVAL	OMB APPROVAL	OMB APPROVAL
																							OMB Number: 3235-0287
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.See Instruction 1(b).																							Estimated average burden hours per response: 0.5
1. Name and Address of Reporting Person* Summers Lawrence Henry (Last) (First) (Middle) 1455 MARKET STREET SUITE 600 (Street) SAN FRANCISCO CA 94103 (City) (State) (Zip)					2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 06/14/2022 4. If Amendment, Date of Original Filed (Month/Day/Year)														5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner Officer (give title below) Other (specify below)
																			6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person
Table I - Non-					Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)				2. Transaction Date (Month/Day/Year)			2A. Deemed Execution Date, if any (Month/Day/Year)				3. Transaction Code (Instr. 8)			4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)							5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)			6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)		7. Nature of Indirect Beneficial Ownership (Instr. 4)
											Code	V		Amount		(A) or (D)		Price
Class A Common Stock				06/14/2022							A			4,145 (1)		A		$ 0.00			25,801			D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)		4. Transaction Code (Instr. 8)			5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)					7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)					8. Price of Derivative Security (Instr. 5)		9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)			10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)		11. Nature of Indirect Beneficial Ownership (Instr. 4)
					Code	V		(A)	(D)	Date Exercisable			Expiration Date		Title		Amount or Number of Shares
Class B Common Stock (2)	(2)									(2)			(2)		Class A		67,380								D
															Common							67,380
															Stock

Explanation of Responses:

Represents an automatic annual restricted stock unit (RSU) award issued pursuant to the Issuer's Outside Director Compensation Policy. Each RSU represents a contingent right to receive one share of Issuer's Class A Common Stock upon settlement. 100% of the RSUs vest on the earlier of June 14, 2023, or the date of the Issuer's next annual meeting of stockholders.
Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.